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1114456167
LUIS LARES
CAPITOL HEIGHTS, MD
NPI
1114456167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305211115)
Enumeration Date
2017-06-05
Last Update Date
2017-06-05
Business Address
LUIS LARES PT, DPT
9141 ALAKING CT
CAPITOL HEIGHTS, MD 20743-5043
Phone number: 301-499-4655
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Mailing Address
LUIS LARES PT, DPT
1160 1ST ST NE APT 346
WASHINGTON, DC 20002-4793
Phone number: 702-716-9701
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